Total Care & Wellness Services Inc | |
3870 Tampa Rd Ste D Oldsmar FL 34677-3120 | |
(813) 336-4949 | |
(813) 336-4946 |
Full Name | Total Care & Wellness Services Inc |
---|---|
Speciality | Family Medicine |
Location | 3870 Tampa Rd Ste D, Oldsmar, Florida |
Authorized Official Name and Position | Robert E Dimasi (OWNER) |
Authorized Official Contact | 7276439632 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Total Care & Wellness Services Inc 3870 Tampa Rd Ste D Oldsmar FL 34677-3120 Ph: (813) 336-4949 | Total Care & Wellness Services Inc 3870 Tampa Rd Ste D Oldsmar FL 34677-3120 Ph: (813) 336-4949 |
NPI Number | 1750639084 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 05/10/2024 |
Medicare PECOS PAC ID | 5597900753 |
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Medicare Enrollment ID | O20130319000056 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750639084 | NPI | - | NPPES |
21762 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS6208 (Florida) | Primary |
Provider Name | Robert E Dimasi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699724914 PECOS PAC ID: 5698823128 Enrollment ID: I20090511000286 |
Provider Name | Kyle Walker Maldonado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225319114 PECOS PAC ID: 6406023126 Enrollment ID: I20120120000722 |
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